![]() ![]() While this is the typical timeline, it’s always a good idea to talk to your care provider directly so that you can plan out your exams based on your specific body and pregnancy concerns.Ī cervical exam performed by your practitioner or a self-exam to check for dilation can help you determine how dilated you are and (sometimes) the position of your baby. That’s why your doctor or midwife is likely to wait until you get closer to your due date before completing a thorough pelvic exam to check for dilation. Generally speaking, most people don’t experience dilation until the last few weeks leading up to the birth. Some people dilate slowly over the course of a few weeks and others will experience rapid dilation right before their baby is born. So, you might be wondering: when do doctors start checking for dilation? Most doctors and midwives offer to begin checking the cervix for dilation in the last 36-40 weeks of pregnancy, although this varies depending on the individual and their specific needs. Medical care providers such as doctors and midwives agree, the process of cervical dilation is different for everyone and it can be difficult to find a clear answer on how this process begins and how to keep track of it. When do doctors start checking for dilation? This is an uncommon practice, but you can ask your care provider about it if you’re curious or have a medical reason for a precise dilation reading. ![]() This method allows them to learn precise measurements and assess the state of the cervical opening and tissue. ![]() While doctors and midwives are able to get a pretty accurate estimate of how dilated you are, some OB/GYNs will opt to do a transvaginal ultrasound if they feel that a perfectly accurate measurement is needed. Wearing sterile gloves, they will insert two fingers into the vaginal canal to feel for effacement (thinning or stretching of the cervix) and dilation (the actual measurement of the opening). So how do doctors check for dilation? In most cases, they will check dilation manually. This is especially important if you’ve never given birth before, as you can experience what a cervical exam feels like prior to being in labor. However, a pelvic exam conducted by a healthcare professional can also be important to ensure that you have all the information you need to have a safe and comfortable last few weeks of pregnancy. Learning how to check for dilation is a wonderful way to stay in tune with your body and understand more about the changes you’re experiencing. If there’s additional space in the opening, try to estimate how many fingertips would fit to determine dilation. If two fit, you’re two centimeters dilated. If one fingertip fits through your cervix, you’re considered one centimeter dilated. Try to insert the tips of your fingers into your cervix. Be as gentle and slow as possible to avoid causing any internal cuts or bruising, and use a water-based lubricant if needed. Push your index and middle finger as far as you can into your vaginal canal to reach your cervix. If you need support, recruit a helper to steady you. Others prefer to sit or stand with one leg elevated on a table or other surface. Many people find this is the easiest position in which to access their cervix. Practicing slow, body-led diaphragmatic breathing can also help to calm your body prior to the check. Some people find that claiming music or a scented candle can help them relax. Whether you’re at home or in a clinical setting, make sure any clothes are loose fitting and comfortable. Get comfortable.Īs you check for dilation, make sure you’re in a comfortable setting and environment. To help ensure your hands are clean and to prevent any internal cuts or scrapes, you may also want to trim your nails. Clean your hands thoroughly with soap and water to avoid introducing bacteria into the vaginal canal and prevent infection. ![]()
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